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  • Title: Endoscopic conduit harvesting and conventional conduit harvesting for coronary artery bypass graft surgery.
    Author: Namthaisong K, Kasemsan C.
    Journal: J Med Assoc Thai; 2012 Aug; 95 Suppl 8():S58-63. PubMed ID: 23130476.
    Abstract:
    UNLABELLED: Conventional conduit harvesting used for coronary artery bypass graft for many decades but there has been some wound complication problem. Endoscopic conduit harvesting is a minimal invasive surgery for reduced wounds complication. The authors aimed to compare the result between two techniques. MATERIAL AND METHOD: Prospective enroll of 100 patients for elective coronary artery bypass graft surgery. Divided in 2 groups. The first groups was a convention conduit harvesting (C groups) and the second groups was endoscopic conduit harvesting (E groups). The endoscopic conduit harvesting performed using the Maquet Vasoview system under CO2 inflation assisted. RESULTS: Endoscopic conduit harvesting was successful 94%. Harvest time C group 32.4 mins E group 48.9 mins, ET CO2 C group 40.3, E group 50.9, Wounds infection C group 6% E group O, wounds echymosis C group 6% E group 44%. CONCLUSION: Endoscopic conduit harvesting showed better results with conventional conduit harvesting in wounds with serious complications but they need more harvest time and risk of CO2 embolism. However a long term graft patency needs more investigation.
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